Engkock Tan, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

00119413 Issued in NY

Practice address

3137 32ND St
Astoria, NY 11106-2532

Phone

(212) 665-5992

Fax

(212) 665-1855

NPI assigned

Feb 27, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1968

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/HHDHAA/Endpoint/HHDHAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goodwill Industries of Greater New York and Northern New Jersey, Inc

  • Community/Behavioral Health Agency
  • Astoria, NY
  • NPI 1801080478
  Medicare reassignment NPD
• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1609980762
  Medicare reassignment NPD
• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Elmhurst, NY
  • NPI 1023122181
  NPD
• Puerto Rican Family Institute, Inc.

  • Community/Behavioral Health Agency
  • Bronx, NY
  • NPI 1063526184
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1932236064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3137 32ND ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062532",
            "telephone_number": "212-665-5992",
            "fax_number": "212-665-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3137 32ND ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111062532",
            "telephone_number": "212-665-5992",
            "fax_number": "212-665-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "ENGKOCK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-27",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "00119413",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00223863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taker Inc
• Umeko Takeshige, MD
• Angelo Antonios Takos, D.D.S.
• Gordana Talevska, MS, OTR/L
• Omar Tamimi, M.D.
• Noel O. Tan
• Manisa Tanprayoon, PHARM.D.
• Katherine Tarazona Sanchez, OT
• Tarek R Khater
• Amad Tariq, DC

• Psychiatry Physician in Astoria, NY
• Providers in Astoria, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.